Negotiating control: Patients’ experiences of unsuccessful weight-loss surgery

Interviews were carried out with 10 men and women who had undergone weight-loss surgery (WLS) up to 10 years ago and felt that it had failed. Seven had had a further successful procedure. Data were analysed using Interpretative Phenomenological Analysis. Weight regain following surgery was explained in terms of either the mechanics of the operation or with participants describing ways to ‘cheat’ as food continued to be used for emotional regulation. Everyone spoke of how surgery neglected their mind. Following the second successful surgery, participants described changes in both their eating behaviour and cognitions emphasising how their mind had been brought ‘in gear’ through the investment of two invasive procedures. Transcending all accounts was the mind/body relationship and the issue of control with attributions for both failed and successful surgery shifting from the self to the surgical mechanism as the participants negotiated the pathway between self-blame and responsibility and utilised conflicting frameworks in which the mind and body were either divided or united. Whereas failed surgery is characterised by a battle for control, successful surgery involves handing control over to their restricted stomachs or considering WLS as a tool to be worked with.     

Damned if You Do,Damned if You Don’t: The Stigma of Weight Loss Surgery

Willpower, as demonstrated through diet and exercise, is constructed as the only acceptable strategy for losing weight. While weight loss surgery (WLS) is an option for morbidly obese individuals, like obesity itself, WLS carries stigma. Using a 40-item survey, we measured 101 participants’ experiences with WLS stigma. We examined whether WLS is stigmatizing, how that stigma is perceived by patients, and tendencies to hide their surgery status in order to manage stigma. Results indicated evidence of perceived stigma despite support from significant others as well as a tendency to hide surgery status from some people as a stigma management technique.     

Effects of attachment style and relationship context on selection among relational strategies

Numerous studies have examined attachment-style differences in social perception, emotion-regulation, and couple communication, but relatively little is known about how dispositional attachment style combines or interacts with relationship situations or contexts to influence the decisions people make about how to act in their relationships. In the present study, participants were presented twice with relationship scenarios and asked to indicate how they would respond to each one. They completed the task initially without a particular context in mind and then again with either a positive or a negative relationship context in mind. Results indicated that a deteriorating relationship context caused participants to choose less secure and more insecure behaviors, especially avoidant ones, but dispositional attachment style was still important as well. Both sets of factors produced main effects rather than interactions.     

The eyes know what you are thinking: eye movements as an objective measure of mind wandering

Paralleling the recent work by Reichle, Reineberg, and Schooler (2010), we explore the use of eye movements as an objective measure of mind wandering while participants performed a reading task. Participants were placed in a self-classified probe-caught mind wandering paradigm while their eye movements were recorded. They were randomly probed every 2–3 min and were required to indicate whether their mind had been wandering. The results show that eye movements were generally less complex when participants reported mind wandering episodes, with both duration and frequency of within-word regressions, for example, becoming significantly reduced. This is consistent with the theoretical claim that the cognitive processes that normally influence eye movements to enhance semantic processing during reading exert less control during mind wandering episodes.     

Parenting after Weight Loss Surgery: A Conceptual Model and Two Case Reports

The ways families approach eating, shape, and weight can result in stress for individual family members and challenge the overall functioning of the family. This is further complicated among families with a parent who has history of obesity or undergone weight loss surgery (WLS). Although WLS can positively impact other family members, it can also exacerbate conflicts regarding feeding and weight. Such conflicts can involve uncertainty regarding the extent to which the entire family should make the dietary changes recommended for the post-WLS parent. Conflict might also center on the appropriate level of concern regarding the children’s risk of developing (or maintaining) obesity. This paper uses two case examples to describe the application of a specialized, time-limited intervention: Parent-Based Prevention following Bariatric Surgery (PBP-B). The program was developed to address the unique challenges and concerns that arise after, or are exacerbated by, WLS. Each detailed case example illustrates a common child-feeding challenge and the employment of key PBP-B strategies throughout the course of treatment. In the first case, the parent who had undergone WLS believed the family’s current eating behaviors were the same as those that had led to her own overeating, obesity, and co-occurring psychiatric symptoms, while her husband disagreed. In the second case, both parents were concerned about their son’s weight, yet due to their prior eating histories, they felt unable to construct boundaries around the feeding experience. Both cases follow families through the entire intervention and illustrate key points and challenges. These cases underscore the need for novel treatment modalities to support families following parental WLS.     

Beyond Body Size: Focusing on Body Functionality to Improve Body Image Among Women Who Have Undergone Bariatric Surgery

This study investigated a novel technique to improve body image among women who have undergone bariatric surgery—namely, by having them focus on their body functionality (everything the body can do, rather than how it looks). Participants were 103 women (M_age = 46.61) who had undergone bariatric surgery 5–7 months prior to the study. They were randomized to the 1-week online intervention, comprising three functionality-focused writing exercises (Expand Your Horizon; Alleva et al., 2015), or to a wait-list control group. Body appreciation, appearance and functionality satisfaction, body awareness, self-objectification, self-esteem, and self-kindness were assessed at pretest, posttest, and at 1-week and 3-month follow-up. Multilevel modeling analyses showed that, compared to the control, the intervention group experienced improved body appreciation at posttest, and these improvements persisted at both follow-ups. These findings were nonsignificant when intent-to-treat analyses were performed. Both available case and intent-to-treat analyses showed that all participants experienced improvements in facets of body image across time. Qualitative analyses of participants’ responses to the intervention writing exercises provided more insight. Via coding reliability thematic analysis, we identified 11 themes that together provide evidence that intervention participants experienced facets of a more positive body image, while also facing challenges to their body image and well-being. Together, findings suggest that focusing on body functionality may contribute to improved body image among women who have undergone bariatric surgery, but effects may be nuanced compared to prior functionality research among general samples of women. The study was registered retrospectively (ClinicalTrials.gov; identifier NCT04883268).     

I don’t feel your pain (as much): The desensitizing effect of mind wandering on the perception of others’ discomfort

Mind wandering reduces both the sensory and cognitive processing of affectively neutral stimuli, but whether it also modulates the processing of affectively salient stimuli remains unclear. In particular, we examined whether mind wandering attenuates one’s sensitivity to observing mild pain in others. In the first experiment, we recorded event-related potentials (ERPs) as participants viewed images of hands in either painful or neutral situations, while being prompted at random intervals to report whether their thoughts were on task or mind wandering. We found that the brain’s later response to painful images was significantly reduced immediately preceding “mind-wandering” versus “on-task” reports, as measured via amplitude decreases in a frontal–central positivity beginning approximately 300 ms poststimulus. In a second, control experiment using behavioral measures, we wanted to confirm whether the subjective sense of pain observed in others does in fact decrease during mind wandering. Accordingly, we asked participants to rate how painful the hand images looked on a 5-point Likert scale, again while taking reports of their mind-wandering states at unpredictable intervals. Consistent with our ERP data, we found that the ratings for painful images were significantly reduced immediately preceding mind-wandering reports. Additional control analyses suggested that the effect could not simply be ascribed to general habituation in the affective response to painful images over time. Collectively, our findings demonstrate that mind wandering can directly modulate the cortical processing of affectively salient stimulus inputs, serving in this case to reduce sensitivity to the physical discomfort of others.     

I think,therefore I am? Examining conceptions of the self,soul, and mind

In order to delineate among conceptions of the self, soul, and mind, participants reported where they believe these entities are located in the body and provided definitions of each entity. Results indicated that most people consider the self, soul, and mind localized in specific regions in the body. In contrast to previous research, however, some participants reported that the self is not centralized in one location. Participants tended to locate the self and mind in the head and the soul in the chest. The self and mind were commonly defined in mental terms and the soul as one’s essence. These results suggest that people tend to distinguish the soul from the mind, both in how they define each entity and where they locate them in the body. Although some people locate the soul in the same region as the self, most people more closely align the mind with the self.     

Values, Framing, and Citizens' Thoughts about Policy Issues: Effects on Content and Quantity

This study examines how frames invoking a core value shape the content and quantity of citizens' thoughts about a policy issue. An experimental study showed that exposure to a pro-school voucher equality frame increased the probability that participants would invoke equality in their open-ended survey responses. Exposure to an anti-school voucher equality frame produced the same effect, as did exposure to both frames. At the same time, participants who received either frame or both frames provided fewer open-ended responses. Thus, the frames appeared to focus participants' thoughts on one value while reducing the overall extent to which they thought about the issue. In broader terms, value framing may have implications for the nature and quality of public deliberation about policy issues—a point that scholars should keep in mind when considering how to define and study framing effects.     

The direct effects of manipulating body checking in men

The purpose of the current study was to examine how body checking affects men's state body image and state muscle dissatisfaction using an experimental design. Male undergraduates (N = 234) were randomly assigned to a high body checking group, in which they were asked to focus their attention on typically disliked body parts, and a low body checking group, in which they were asked to focus on their bodies as a whole and describe themselves using neutral, nonjudgmental terms. Contrary to initial hypotheses, regardless of condition, participants’ body image satisfaction decreased significantly following the body checking procedure and did not change significantly after a 10-min delay. Additionally, in both conditions, participants’ muscle dissatisfaction did not immediately change, but muscle dissatisfaction increased significantly following the 10-min delay. One mirror exposure session had similar effects on men's body image and muscle dissatisfaction regardless of how they were asked to examine their bodies.     

Seeing the mind of robots: Harm augments mind perception but benevolent intentions reduce dehumanisation of artificial entities in visual vignettes

According to moral typecasting theory, good- and evil-doers (agents) interact with the recipients of their actions (patients) in a moral dyad. When this dyad is completed, mind attribution towards intentionally harmed liminal minds is enhanced. However, from a dehumanisation view, malevolent actions may instead result in a denial of humanness. To contrast both accounts, a visual vignette experiment (N = 253) depicted either malevolent or benevolent intentions towards robotic or human avatars. Additionally, we examined the role of harm-salience by showing patients as either harmed, or still unharmed. The results revealed significantly increased mind attribution towards visibly harmed patients, mediated by perceived pain and expressed empathy. Benevolent and malevolent intentions were evaluated respectively as morally right or wrong, but their impact on the patient was diminished for the robotic avatar. Contrary to dehumanisation predictions, our manipulation of intentions failed to affect mind perception. Nonetheless, benevolent intentions reduced dehumanisation of the patients. Moreover, when pain and empathy were statistically controlled, the effect of intentions on mind perception was mediated by dehumanisation. These findings suggest that perceived intentions might only be indirectly tied to mind perception, and that their role may be better understood when additionally accounting for empathy and dehumanisation.     

I see into your mind too well: working memory adjusts the probability judgment of others' mental states

Although an increasing number of studies on adults have indicated that working memory (WM) contributes to the ability to understand the mental states of others (i.e., theory of mind), the detailed mechanism by which WM contributes to successful reasoning has not previously been revealed. This study shows that WM modulates the degree of attribution of one's own knowledge to others' mental states. Participants were asked to read a story twice (Experiment 2) or as carefully as possible (Experiment 3) and to estimate the probability percentages of possible choices for a naive protagonist's behavior. The participants were then asked to maintain either a two- or seven-letter alphabet string (i.e., a light or heavy WM load, respectively) during the probability estimation but not during the story comprehension. The results showed that compared to the participants with a light WM load, those with a heavy WM load estimated a significantly higher probability of the choice indicating that the protagonist would behave on the basis of a fact that the participants knew but the protagonist did not. This result indicates that WM moderates the extent to which adults attribute their own knowledge to others' mental states. The role of WM in theory of mind and in heuristic strategy for making probability judgments was then discussed.     

Social comparison 2.0: examining the effects of online profiles on social-networking sites

Through their features--such as profile photographs or the personal vita--online profiles on social-networking sites offer a perfect basis for social comparison processes. By looking at the profile photograph, the user gains an impression of a person's physical attractiveness, and the user's vita shows which career path the person is pursuing. Against the background of Festinger's Social Comparison Theory, the focus of this research is on the effects of online profiles on their recipients. Therefore, qualitative interviews (N?=?12) and two online experiments were conducted in which virtual online profiles of either physically attractive or unattractive persons (N?=?93) and profiles of users with either high or low occupational attainment (N?=?103) were presented to the participants. Although qualitative interviews did not initially give reason to expect online profiles to constitute a basis for comparison processes, results of the experiments proved otherwise. The first study indicates that recipients have a more negative body image after looking at beautiful users than persons who were shown the less attractive profile pictures. Male participants of the second study, who were confronted with profiles of successful males, showed a higher perceived discrepancy between their current career status and an ideal vita than male participants who looked at profiles of less successful persons.     

“You’re on ten,where can you go from there?” Tufnel problems in repeated experiential judgments

We describe a set of Tufnel problems that arise when repeated use of a fixed-point scale precipitates failures to assess a full range of subjective experiences. As empirical evidence, participants in Study 1 periodically reported their depth of mind wandering on either 5- or 7-point Likert scales during a sustained attention task. The proportion of participants providing maximum scale ratings increased quickly over time-on-task and did so more quickly for the 5-point than for the 7-point group. Participants in Study 2 completed the same task using a 10-point scale before indicating whether and where they could have used a scale extended to “11” during the task. Slightly more than 20% of participants reported needing a scale extension. This Need for 11 was associated with differences in both reports of mind wandering depth and task performance. We conclude that Tufnel problems warrant methodological consideration and reflect interesting constraints on human judgment.     

Effect of click trains on duration estimates by people with Parkinson's disease

Patients with a diagnosis of Parkinson's disease and age- and IQ-matched controls estimated the duration of short 500-Hz tones (325-1,225 ms), on trials where the tone was either preceded by 3 s of 5-Hz clicks, or presented without clicks. The click manipulation had been shown in earlier studies with student participants to make verbal estimates longer. Patients were tested both on and off their dopaminergic medication, and controls were also tested in two sessions. Verbal estimates were markedly and significantly longer on trials with clicks than on those without clicks for both the patients and the controls, but there were no significant performance differences between patients or controls, nor between the on and off medication sessions in the patients. The study shows that a manipulation of subjective time, which has had small but consistent effects in student participants, also affects timing in patients and adds to a growing body of evidence that timing in patients with Parkinson's disease may in many cases have the same characteristics as those of neurologically intact control groups.     

Do drives drive the train of thought?—Effects of hunger and sexual arousal on mind-wandering behavior

Physiological needs that are currently unfulfilled are known to affect human cognition and behavior. The present study investigates whether and how the temporary activation of two primary physiological needs, namely hunger and sexual arousal, influence both the frequency and the contents of mind-wandering episodes. To induce hunger, one group of participants fasted for a minimum of five hours whereas another group of participants was exposed to audio material with explicit sexual content to provoke sexual arousal. Both groups as well as an additional control group, which had not received hunger instructions and had not been exposed to arousing material of any kind beforehand, performed a reading task during which mind wandering was assessed using a standard experience-sampling method. Results showed that acute hunger but not elevated sexual arousal renders the occurrence of mind-wandering episodes more likely. Induction of both hunger and sexual arousal rendered the occurrence of need-related off-task thoughts more likely and changed time orientations of mind wandering. The present findings are well in line with the assumption that unfulfilled needs regularly achieve cognitive priority and extend the cognitive-priority idea to self-generated thoughts.     

Effect of click trains on duration estimates by people with Parkinson's disease

Patients with a diagnosis of Parkinson's disease and age- and IQ-matched controls estimated the duration of short 500-Hz tones (325–1,225 ms), on trials where the tone was either preceded by 3 s of 5-Hz clicks, or presented without clicks. The click manipulation had been shown in earlier studies with student participants to make verbal estimates longer. Patients were tested both on and off their dopaminergic medication, and controls were also tested in two sessions. Verbal estimates were markedly and significantly longer on trials with clicks than on those without clicks for both the patients and the controls, but there were no significant performance differences between patients or controls, nor between the on and off medication sessions in the patients. The study shows that a manipulation of subjective time, which has had small but consistent effects in student participants, also affects timing in patients and adds to a growing body of evidence that timing in patients with Parkinson's disease may in many cases have the same characteristics as those of neurologically intact control groups.     

Causal attributions as a function of locus of control, initial confidence, and performance outcomes.

Causal attributions and body movements indicative of tension were recorded while subjects completed an anagrams task that was more extensive than most similar tasks used in attribution studies. Nine trials each containing 10 anagrams were presented such that most subjects succeeded on three sets of relatively simple anagrams, failed on three sets of difficult anagrams, and either succeeded or failed on three sets of intermediately difficult anagrams. Attributions and body movements were predicted by a combination of locus of control, initial confidence, and type of outcome. High-confident internals attributed responsibility for outcomes to themselves more than did low-confident externals, and this difference was most prominent when subjects failed. Tension-indicating body movements were also less common among the former than the latter subjects and were in greater evidence with failure than with success. The data indicate that there is consistency between locus of control and causal attributions obtained during performances. The data also correspond to the findings on helplessness in which aversive agents prove to be more deleterious when individuals perceive themselves as unable to alter their negative circumstances.     

Success modulates consolidation of a visuomotor adaptation task

Consolidation is a time-dependent process that is responsible for the storage of information in long-term memory. As such, it plays a crucial role in motor learning. Prior research suggests that some consolidation processes are triggered only when the learner experiences some success during practice. In the present study, we tested whether consolidation processes depend on the objective performance of the learner or on the learner's subjective evaluation of his or her own performance (i.e., how successful the learner believes he or she is). Four groups of participants performed 2 sessions of a visuomotor adaptation task for which they had to learn a new internal model of limb kinematics; these sessions were either 5 min or 24 hr apart. The task was identical for all participants, but each group was given a difficult or an easy objective that affected the participants' evaluation of their own performance during the initial practice session. All groups adapted their movements similarly to the rotation of the visual feedback during the first session. However, when retested the following day, participants who had a 24-hr rest interval and had initially experienced success performed significantly better than those who did not feel successful or who were given a 5-min rest interval. Our results indicate that a certain level of subjective success must be experienced to trigger certain consolidation processes.